Rep. Emily Randall

Resident Physician Shortage Reduction Act of 2025 This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits. The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Maddy summaryHR 4734, the "Hands Off Our Social Security Act," prohibits federal actions that would alter Social Security benefits, data handling, workforce levels, office locations, or communication systems without explicit congressional approval. It directly protects Social Security beneficiaries and the Social Security Administration (SSA) by banning unauthorized changes to benefits, data mining, privatization, staff cuts, office closures, or reduced phone/in-person services. Key provisions require Congress to approve any modifications to benefits, workforce reductions, or office closures, and mandate the SSA to maintain existing communication channels. The bill also mandates annual GAO audits to ensure compliance with these restrictions. This legislation focuses on preserving current Social Security operations and access, not creating new benefits or altering eligibility.

Maddy summaryH.J. Res. 108 proposes a constitutional amendment to remove legal immunity for federal officials, including the President, from criminal prosecution for actions taken while performing official duties. It would prohibit the President from granting pardons to themselves and eliminate the defense that "official authority" excuses violations of federal or state law (with limited exceptions for certain congressional actions). If ratified, this amendment would require Congress to pass implementing laws to enforce these changes. The proposal is currently in the House Judiciary Committee and requires approval by three-fourths of state legislatures to become part of the Constitution.

Maddy summaryHR 4606, the Ally’s Act, requires private health insurance plans (including employer-sponsored plans and individual coverage) to cover hearing implants and related services. It directly affects people with hearing loss who need cochlear implants, bone conduction devices, or external sound processors, as determined by a physician or audiologist. The bill mandates coverage for devices, maintenance, repairs, upgrades every 5 years, hearing assessments, surgery, and rehabilitation - without separate cost-sharing or stricter limits than other medical services. Insurers cannot deny coverage if a provider deems the service medically necessary. The law applies to all applicable health plans and takes effect for plan years beginning January 1, 2026.

Maddy summaryThis bill prohibits life, disability, and long-term care insurers from denying coverage, canceling policies, or increasing premiums based solely on a person's status as a living organ donor. It directly protects living organ donors by preventing insurance discrimination unrelated to actual health risks. The bill also requires the Health and Human Services Secretary to update public educational materials about organ donation benefits, risks, and insurance impacts within six months of enactment. These materials will include information on the new insurance protections established by the bill. The law relies on state insurance regulators for enforcement of the insurance provisions.

Maddy summaryHR 4596, the McCarran-Walter Technical Corrections Act, amends Section 289 of the Immigration and Nationality Act to update eligibility criteria for certain Indigenous people under U.S. immigration law. It replaces an outdated requirement of "50% blood quantum" with two new categories: members or eligible members of federally recognized U.S. tribes, or individuals with Canadian Indian status under the Indian Act or membership in a Canadian First Nation. The bill clarifies that people admitted under these updated criteria will automatically receive "lawfully admitted for permanent residence" status. This technical correction directly affects Indigenous people from U.S. tribes and Canadian First Nations seeking U.S. immigration benefits.

Maddy summaryThis bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

Maddy summaryHR 4493, the Climate Health Emergency Act of 2025, requires the Secretary of Health and Human Services to declare a public health emergency specifically for climate-related health risks under existing law. This bill directly affects the federal public health system by mandating this emergency declaration, based on findings that climate change drives over half of recent public health emergencies (like extreme weather and disease spread). The key mechanism is the formal declaration under the Public Health Service Act, aiming to mobilize federal resources and improve coordination for climate-driven health threats. It focuses on addressing the growing health impacts linked to climate change, as identified in congressional findings.

Maddy summaryHR 1522, the Federal Retirement Fairness Act, changes federal retirement rules to include temporary employees' service after January 1, 1988, in retirement benefit calculations. It directly affects temporary federal employees (including U.S. Postal Service workers) and Members of Congress who served after that date. The bill removes a previous cutoff date in retirement law, allowing their temporary service to count toward retirement eligibility. This means eligible temporary workers can now have their full service period considered when calculating retirement benefits.

Maddy summaryHR 4482, the Stop NOAA Closures Act, imposes a temporary moratorium on closing, suspending, or limiting access to National Oceanic and Atmospheric Administration (NOAA) facilities, effective until a report is submitted to Congress by January 21, 2029. The bill requires NOAA and the General Services Administration to submit detailed reports to specific congressional committees before any future facility closure, suspension, lease termination, or consolidation - outlining cost-benefit analyses, service impacts, and justification. Exceptions apply only for emergencies posing immediate threats to personnel safety. This bill directly affects NOAA's facility management decisions and mandates congressional oversight for future closures.